Becoming a Network Member

Registration Form

Are you interested in joining more than 100 entrepreneurs and be part of the Entrepreneurs Support Network? It's easy. Just fill out the following registration form and send it to us. The total annual membership fees are $95. It covers the majority of services, including business mentoring, studies conducted by students, as well as various networking events and training.

As soon as you are registered, you are entitled to a free consultation with one of the Centre's consultants in order to determine your needs. You will also be invited to all of our events, and you may take advantage of our exclusive member services.

Feel free to contact us if you have any questions. Our team is always ready to help you!

You may submit your registration application by filling out the fields below:

Information

President's name :

Over 35 years old ?

Yes

Company's name :

QEN Number (Québec Enterprise Number) :

Address :

City :

Postal code :

Phone number :*

Fax :

Email :*

Website :

Activity sector :

Language :

Company's years of operation :

Number of employees

Full-time :

Part-time :

You will soon receive your user code and password by regular mail

As a Network Member, I will benefit from the various services offered by the Dobson-Lagassé entrepreneurship centre and I agree to :
Meet with a consultant of the Centre in order to present my business and to identify my needs;
Participate actively in the Network activities;
Pay the $95 fee for the membership period from September 1^st, 2011 – Aug. 31^st, 2012.

Agreement*

I agree to those terms

User login

Becoming a Network Member

Registration Form

Number of employees

You will soon receive your user code and password by regular mail